Compliance Verification Specialist

2 days ago


Jodhpur, Rajasthan, India beBeeInsurance Full time ₹ 60,00,000 - ₹ 80,00,000
Medical Insurance Verification Specialist

We are seeking an experienced Medical Insurance Verification Specialist to join our team. The ideal candidate will be comfortable multitasking, organized, and able to verify insurance benefits and eligibility efficiently.

Key Responsibilities:

  • Verify insurance benefits and eligibility for sleep studies, DME services, and related procedures.
  • Obtain prior authorizations accurately and efficiently.
  • Understand and explain co-pays, deductibles, and co-insurance to patients.
  • Work with various insurance plans, including HMO and PPO.
  • Document and track authorizations in EMR systems and Excel.
  • Communicate clearly and professionally with patients and insurance companies.
  • Support front office and billing teams when needed.
  • Handle a high call volume with excellent phone etiquette and attention to detail.

Requirements:

  • Minimum 2 years of experience in medical insurance verification and prior authorization.
  • Strong knowledge of co-pays, deductibles, co-insurance, and insurance plan types.
  • Familiarity with sleep studies and DME services (preferred but not required).
  • Ability to multitask, stay organized, and shift roles when necessary.
  • Excellent verbal and written communication skills.
  • Proficient in EMR systems and Microsoft Office (especially Excel).
  • Strong team player with a positive and proactive attitude.


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